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In this tutorial, you'll learn to effectively gather and document patient information using techniques like restatement, reflection, and clarification. Start by greeting the patient warmly, introducing yourself, and explaining your role, such as updating their medical record. Ensure confidentiality by selecting a quiet, private area for the interview. Clearly articulate the need for the information you are collecting. Utilize therapeutic communication to complete a history form that includes the patient's full name (with middle initial), address (including apartment and zip code), marital status, gender, age, date of birth, telephone numbers (home, cell, work), and insurance details, along with their employer's contact information. If some data is already in the electronic record, verify its accuracy.
